Provider Demographics
NPI:1003811548
Name:TELTSCHER, JANET CAROL (MD)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:CAROL
Last Name:TELTSCHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:21150 BISCAYNE BLVD
Mailing Address - Street 2:STE 102
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1231
Mailing Address - Country:US
Mailing Address - Phone:305-933-3395
Mailing Address - Fax:305-935-6248
Practice Address - Street 1:21150 BISCAYNE BLVD
Practice Address - Street 2:STE 102
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1231
Practice Address - Country:US
Practice Address - Phone:305-933-3395
Practice Address - Fax:305-935-6248
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-20
Last Update Date:2014-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME65759207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL28215ZMedicare ID - Type Unspecified
FLE44299Medicare UPIN